Visits & medical services prices at Ascension St. Vincent's Riverside
Jacksonville, FL · every code in this section with a posted price and a Medicare benchmark.
183 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 11 matching MRF lines |
$53.10–$61.05 | $143.50–$165 | varies |
| Airway resistance by oscillometry (94728) | $332.54 | $898.75 | 2.5× |
| Analyze neurostim no prog (95970) | $332.45 | $898.50 | 2.4× |
| Analyze Neurostim Simple (95971) | $514.86 | $1,391.50 | 5.2× |
| Ans parasymp & symp w/tilt (95924) | $158.82 | $429.25 | 0.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $44.68 | $120.75 | 3.1× |
| Behavral qualit analys voice (92524) | $116 | $313.50 | 1.1× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $79.46 | $214.75 | 1.0× |
| Bfb training ea addl 15 min (90913) | $79.46 | $214.75 | 2.4× |
| Bioimpedance Cv Analysis (93701) | $116.74 | $315.50 | 0.8× |
| Bis Xtracell Fluid Analysis (93702) | $266.22 | $719.50 | 2.0× |
| Brief Emotional/Behav Assmt (96127) | $62.81 | $169.75 | 1.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$440.76–$506.90 | $1,191.25–$1,370 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 7 matching MRF lines |
$872.92–$1,382.69 | $2,359.25–$3,737 | varies |
| Cardiopulmonary exercise testing (94621) range across 4 matching MRF lines |
$670.90–$964.41 | $1,813.25–$2,606.50 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$464.91–$486 | $1,256.50–$1,313.50 | varies |
| Cardioversion (92960) | $1,152.18 | $3,114 | 1.7× |
| Cbt 1st hour (94644) | $117.01 | $316.25 | 0.8× |
| Chemo Admin Peritoneal Cavity (96446) | $421.43 | $1,139 | 1.2× |
| Chemo Anti-Neopl Sq/Im (96401) | $218.30 | $590 | 2.9× |
| Chemo Hormon Antineopl Sq/Im (96402) | $207.94 | $562 | 2.8× |
| Chemo IV infusion addl hr (96415) | $349.19 | $943.75 | 4.6× |
| Chemo IV push addl drug (96411) | $419.03 | $1,132.50 | 5.6× |
| Chemother Prolong Infuse W/Pump (96416) | $621.23 | $1,679 | 1.8× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $519.67 | $1,404.50 | 1.5× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $66.42 | $179.50 | 1.4× |
| Chemotherapy Into Cns (96450) range across 4 matching MRF lines |
$767.47–$920.93 | $2,074.25–$2,489 | varies |
| Chemotherapy Intracavitary (96440) | $316.54 | $855.50 | 0.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $483.59 | $1,307 | 6.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $977.91 | $2,643 | 2.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $419.03 | $1,132.50 | 1.2× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $207.94 | $562 | 0.6× |
| Chest Wall Manipulation (94668) | $97.59 | $263.75 | 0.7× |
| Chron Care Mgmt Srvc 20 Min (99490) | $134.31 | $363 | 1.3× |
| Color/duplex Doppler, complete (93975) range across 5 matching MRF lines |
$573.78–$826.30 | $1,550.75–$2,233.25 | varies |
| Color/duplex Doppler, limited (93976) range across 4 matching MRF lines |
$626.97–$902.89 | $1,694.50–$2,440.25 | varies |
| Continuous Pulse Ox (94762) | $118.22 | $319.50 | 0.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $340.22 | $919.50 | 1.5× |
| Cpt initial (94667) | $95.83 | $259 | 0.7× |
| Critical care first hour (99291) | $1,534.67 | $4,147.75 | 1.8× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$153.09–$180.10 | $413.75–$486.75 | varies |
| Dialysis One Evaluation (90945) range across 5 matching MRF lines |
$261.41–$925.74 | $706.50–$2,502 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 3 matching MRF lines |
$525.68–$757.02 | $1,420.75–$2,046 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $357.98 | $967.50 | 3.3× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $291.75 | $788.50 | 2.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 5 matching MRF lines |
$594.50–$856 | $1,606.75–$2,313.50 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 9 matching MRF lines |
$366.12–$527.25 | $989.50–$1,425 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 5 matching MRF lines |
$755.73–$1,088.26 | $2,042.50–$2,941.25 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 7 matching MRF lines |
$479.89–$691.07 | $1,297–$1,867.75 | varies |
| Duplex Scan Hemodialysis Access (93990) | $663.78 | $1,794 | 6.1× |
| Duplex up extrem art bilat (93930) range across 5 matching MRF lines |
$592.09–$852.57 | $1,600.25–$2,304.25 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 8 matching MRF lines |
$368.15–$530.12 | $995–$1,432.75 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 6 matching MRF lines |
$317.09–$472.95 | $857–$1,278.25 | varies |
| Echo transesophageal (93312) | $3,200.69 | $8,650.50 | 5.6× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 4 matching MRF lines |
$2,217.87–$3,220.20 | $5,994.25–$8,703.25 | varies |
| Eeg 41-60 Minutes (95812) | $559.44 | $1,512 | 2.5× |
| EEG awake and asleep (95819) | $559.72 | $1,512.75 | 2.5× |
| EEG awake drowsy (95816) | $536.22 | $1,449.25 | 2.4× |
| EEG cerebral death evaluation (95824) | $289.25 | $781.75 | 0.7× |
| EEG cont rec w/video by tech min 8 channels (95700) | $498.67 | $1,347.75 | 2.2× |
| EEG extended monitoring 61-119 minutes (95813) | $505.51 | $1,366.25 | 2.2× |
| Eeg Sleep Only (95822) | $559.72 | $1,512.75 | 2.5× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $413.94 | $1,118.75 | 1.8× |
| EEG w/o vid 2-12hr cont mntr (95707) | $413.94 | $1,118.75 | 1.8× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $413.94 | $1,118.75 | 1.8× |
| EEG wo vid ea 12-26hr unmntr (95708) | $763.31 | $2,063 | 2.0× |
| EKG signal averaged (93278) | $91.58 | $247.50 | 1.5× |
| Electrical Stimulation Ea 15 Min (97032) | $46.62 | $126 | 3.2× |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$109.34–$136.72 | $295.50–$369.50 | varies |
| Emergency Dept Visit Level 2 (99282) | $491.18 | $1,327.50 | 3.1× |
| Emergency Dept Visit Level 3 (99283) | $1,319.05 | $3,565 | 4.6× |
| Emergency Dept Visit Level 4 (99284) | $1,327.56 | $3,588 | 3.0× |
| Er level 1 (99281) | $211.73 | $572.25 | 2.4× |
| Er level v (99285) | $1,395.46 | $3,771.50 | 2.2× |
| Ergonovine provocation test (93024) | $623.82 | $1,686 | 1.3× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$123.12–$141.62 | $332.75–$382.75 | varies |
| Evaluate Speech Production (92522) | $116.64 | $315.25 | 1.0× |
| Evaluate Swallowing Function (92610) | $114.79 | $310.25 | 1.4× |
| Exercise test for bronchospasm (94617) | $293.60 | $793.50 | 2.1× |
| External ECG rec>7d<15d recording (93246) | $280.46 | $758 | 7.2× |
| External Ecg Scanning Analysis Report (93226) | $114.70 | $310 | 1.9× |
| Extracranial Bilat Study (93880) range across 5 matching MRF lines |
$769.14–$1,107.60 | $2,078.75–$2,993.50 | varies |
| Extracranial Uni/Ltd Study (93882) range across 5 matching MRF lines |
$755.17–$1,087.43 | $2,041–$2,939 | varies |
| Group Therapeutic Procedures (97150) | $24.79 | $67 | 1.4× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $181.58 | $490.75 | 0.3× |
| High altitude simulation test (94452) | $236.80 | $640 | 1.7× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $231.16 | $624.75 | 1.7× |
| Holter monitor recording (93225) | $401.36 | $1,084.75 | 2.9× |
| Icm Device Eval (93290) | $106.01 | $286.50 | 2.7× |
| Immunization administration (90471) | $53.37 | $144.25 | 0.7× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $550.01 | $1,486.50 | 1.4× |
| Iontophoresis 15 min (97033) | $56.33 | $152.25 | 3.0× |
| Irrig Drug Delivery Device (96523) range across 14 matching MRF lines |
$99.07–$118.86 | $267.75–$321.25 | varies |
| IV infusion hydration each additional hour (96361) range across 16 matching MRF lines |
$78.44–$94.63 | $212–$255.75 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 16 matching MRF lines |
$602.18–$727.14 | $1,627.50–$1,965.25 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 15 matching MRF lines |
$72.80–$76.41 | $196.75–$206.50 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 15 matching MRF lines |
$108.23–$119.70 | $292.50–$323.50 | varies |
| IV push initial (96374) | $257.24 | $695.25 | 1.2× |
| Lung Function Test (Mbc/Mvv) (94200) | $93.98 | $254 | 1.5× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 4 matching MRF lines |
$357.98–$515.50 | $967.50–$1,393.25 | varies |
| Mechanical chest wall oscillation per session (94669) | $135.88 | $367.25 | 0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $52.08 | $140.75 | 1.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $58.46 | $158 | 1.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $28.68 | $77.50 | 1.7× |
| Methacholine challenge (94070) | $946.55 | $2,558.25 | 2.4× |
| Microvolt T-Wave Assess (93025) range across 3 matching MRF lines |
$428.83–$487.29 | $1,159–$1,317 | varies |
| Motion Fluoroscopy/Swallow (92611) | $115.07 | $311 | 1.3× |
| Multiple Sleep Latency Test (95805) | $5,676.08 | $15,340.75 | 6.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $447.33 | $1,209 | 1.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $447.33 | $1,209 | 1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $213.77 | $577.75 | 1.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $408.48 | $1,104 | 1.0× |
| Nerve Conduction Studies 1-2 Studies (95907) | $629.56 | $1,701.50 | 2.8× |
| Nerve Conduction Studies 11-12 Studies (95912) | $4,099.23 | $11,079 | 10.5× |
| Nerve conduction studies 13 or more studies (95913) | $4,366.09 | $11,800.25 | 11.2× |
| Nerve Conduction Studies 3-4 Studies (95908) | $1,258.93 | $3,402.50 | 5.6× |
| Nerve conduction studies 5-6 studies (95909) | $1,888.57 | $5,104.25 | 8.4× |
| Nerve conduction studies 7-8 studies (95910) | $2,395.47 | $6,474.25 | 6.1× |
| Nerve Conduction Studies 9-10 Studies (95911) | $3,120.67 | $8,434.25 | 8.0× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $482.39 | $1,303.75 | 3.6× |
| Neuromuscular Reeducation (97112) | $39.59 | $107 | 1.2× |
| Oral Speech Device Eval (92597) | $78.81 | $213 | 1.1× |
| Ot manual therapy 15 min (97140) | $36.26 | $98 | 1.3× |
| Ot paraffin bath (97018) | $7.31 | $19.75 | 1.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $223.20 | $603.25 | 1.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $223.20 | $603.25 | 1.7× |
| Oxygen Uptake Rest Indirect (94690) | $228.20 | $616.75 | 3.7× |
| Penile Vascular Study,Ltd or F/U (93981) | $307.84 | $832 | 2.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $205.35 | $555 | 0.9× |
| Percutaneous tests w/allergenic extracts (95004) | $127.19 | $343.75 | 0.1× |
| Peripheral arterial disease rehab per session (93668) | $107.58 | $290.75 | 1.7× |
| Phlebotomy therapeutic (99195) | $217.01 | $586.50 | 1.6× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $162.43 | $439 | 2.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $162.43 | $439 | 2.6× |
| Physical Performance Test (97750) | $35.24 | $95.25 | 1.0× |
| Plethysmography (94726) | $616.98 | $1,667.50 | 1.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $5,143 | $13,900 | 5.7× |
| Polysom <6 yrs 4/> paramtrs (95782) | $2,547.54 | $6,885.25 | 2.8× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $2,739.48 | $7,404 | 3.1× |
| Pt Eval High Complex (97163) | $100.92 | $272.75 | 1.0× |
| Pt eval low complex 20 min (97161) | $100.92 | $272.75 | 1.0× |
| Pt Eval Mod Complex (97162) | $100.92 | $272.75 | 1.0× |
| Pt gait training 15 min (97116) | $29.69 | $80.25 | 1.0× |
| Pt mechanical traction (97012) | $40.24 | $108.75 | 2.8× |
| Pulm function test by gas (94727) | $369.08 | $997.50 | 1.6× |
| Pulmonary Stress Testing (94618) | $358.90 | $970 | 2.6× |
| Pure Tone Audiometry Air (92552) | $214.79 | $580.50 | 1.5× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $458.99 | $1,240.50 | 1.3× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $85.29 | $230.50 | 1.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $108.50 | $293.25 | 0.5× |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) | $1,303.05 | $3,521.75 | 3.3× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $971.44 | $2,625.50 | 4.3× |
| Short-latency somatosens ep std upr limbs (95925) | $940.63 | $2,542.25 | 4.2× |
| Sleep study unattended (95806) | $619.94 | $1,675.50 | 2.7× |
| Speech sound lang comprehen (92523) | $147.72 | $399.25 | 0.7× |
| Spin/Brain Pump Refil & Main (95991) | $458.99 | $1,240.50 | 1.4× |
| Spirometry (94010) range across 2 matching MRF lines |
$203.13–$233.56 | $549–$631.25 | varies |
| Ssep lower limbs (95926) | $947.48 | $2,560.75 | 4.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $24.88 | $67.25 | 1.1× |
| Ther Ivntj Ea Addl 15 Min (97130) | $24.88 | $67.25 | 1.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $42.64 | $115.25 | 1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 17 matching MRF lines |
$130.24–$157.25 | $352–$425 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 15 matching MRF lines |
$656.29–$754.71 | $1,773.75–$2,039.75 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $50.23 | $135.75 | 1.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$41.72–$50.04 | $112.75–$135.25 | varies |
| Tte w/doppler, complete (93306) range across 5 matching MRF lines |
$1,624.39–$2,144.15 | $4,390.25–$5,795 | varies |
| Tte W/O Doppler Complete (93307) | $1,194.18 | $3,227.50 | 4.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $238 | $643.25 | 4.9× |
| Tympanometry (92567) | $57.72 | $156 | 1.5× |
| Upr/L Xtremity Art 2 Levels (93922) range across 6 matching MRF lines |
$304.14–$437.99 | $822–$1,183.75 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 6 matching MRF lines |
$357.98–$515.50 | $967.50–$1,393.25 | varies |
| Valvuloplasty pulmonary valve (92990) | $31,082.78 | $84,007.50 | 2.6× |
| Veeg 2-12 Hr Cont Mntr (95713) | $763.87 | $2,064.50 | 2.0× |
| Veeg 2-12 hr intmt mntr (95712) | $1,511.45 | $4,085 | 3.9× |
| Veeg 2-12 hr unmonitored (95711) | $413.94 | $1,118.75 | 1.8× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $1,511.45 | $4,085 | 3.9× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $763.31 | $2,063 | 2.0× |
| Veeg ea 12-26hr cont mntr (95716) | $1,429.77 | $3,864.25 | 1.6× |
| Vent Mgmt Inpat Init Day (94002) | $688.85 | $1,861.75 | 1.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $461.21 | $1,246.50 | 0.7× |
| Visual Evoked Potential Test (95930) | $272.41 | $736.25 | 1.2× |
| Vital capacity, total (94150) | $91.95 | $248.50 | 0.7× |
| Whirlpool Therapy (97022) | $17.11 | $46.25 | 1.1× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.